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  • Essay / Integrated Service Delivery - 1652

    3.2.4 Integrated Service Delivery. Integrated service delivery was considered innovative. A situation analysis is carried out before carrying out the integrated services to find out who they are, where they are and why they are not vaccinated or missed. The next step is the integration of immunization services with other programs such as the provision of vitamin A and malaria plump nuts (insecticide-treated mosquito nets) to increase coverage, access and demand for vaccination services with a greater focus on remote rural areas, urban slums and hard-to-reach areas. areas .3.2.5 Use of community health workers and non-health personnel. The use of community health workers and non-health workers (influential person in the community) was considered innovative. In Burkina Faso, community health workers and community representatives maintain lists of women and children who need vaccination, conduct door-to-door visits to identify eligible children, and refer them to the vaccination center. nearest health or awareness session. Similarly, non-medical personnel are used to mobilize communities for vaccination. Non-health personnel are also integrated into health centers with the creation of a village health committee and a health center management committee (Comate de Gestion du Center de Santé). Non-health workers are champions of immunization and other health services in their own areas. communities. They are used to identify children who are not vaccinated, which improves community participation in health services with the aim of ensuring complete coverage of immunization services.3.2.6. Involvement of political and religious leaders. The question of future financing of the vaccination program was, and still is, a growing concern for all stakeholders involved in the EPI (Eie, 2008). Donor dependency impacts the introduction of new vaccines such as hepatitis B which are relatively expensive compared to core antigens, suggesting that their introduction needs to be carefully planned and options such as gradual introduction by regions or by targeted populations MDG-4 will not be achieved unless local financing resources are exploited and mobilized. It is also important to ask whether the introduction of a new vaccine will negatively affect the use of the six traditional EPI antigens. d'Ivoire 2007°). In Benin, Burkina Faso and Ivory Coast, political will is necessary to overcome infant mortality (Richard 2006).CH